TY - JOUR KW - Angiotensin-Converting Enzyme 2 KW - Animals KW - Betacoronavirus KW - Blood Vessels KW - COVID-19 KW - Chlorocebus aethiops KW - Coronavirus Infections KW - Humans KW - kidney KW - Mice KW - organoids KW - Pandemics KW - Peptidyl-Dipeptidase A KW - Pneumonia, Viral KW - Receptors, Virus KW - Recombinant Proteins KW - SARS-CoV-2 KW - Spike Glycoprotein, Coronavirus KW - Vero Cells KW - angiotensin converting enzyme 2 KW - Blood Vessels KW - human organoids KW - kidney KW - severe acute respiratory syndrome coronavirus KW - spike glycoproteins KW - treatment AU - Vanessa Monteil AU - Hyesoo Kwon AU - Patricia Prado AU - Astrid Hagelkrüys AU - Reiner A. Wimmer AU - Martin Stahl AU - Alexandra Leopoldi AU - Elena Garreta AU - Carmen Hurtado Del Pozo AU - Felipe Prosper AU - Juan Pablo Romero AU - Gerald Wirnsberger AU - Haibo Zhang AU - Arthur S. Slutsky AU - Ryan Conder AU - Nuria Montserrat AU - Ali Mirazimi AU - Josef M. Penninger AB - We have previously provided the first genetic evidence that angiotensin converting enzyme 2 (ACE2) is the critical receptor for severe acute respiratory syndrome coronavirus (SARS-CoV), and ACE2 protects the lung from injury, providing a molecular explanation for the severe lung failure and death due to SARS-CoV infections. ACE2 has now also been identified as a key receptor for SARS-CoV-2 infections, and it has been proposed that inhibiting this interaction might be used in treating patients with COVID-19. However, it is not known whether human recombinant soluble ACE2 (hrsACE2) blocks growth of SARS-CoV-2. Here, we show that clinical grade hrsACE2 reduced SARS-CoV-2 recovery from Vero cells by a factor of 1,000-5,000. An equivalent mouse rsACE2 had no effect. We also show that SARS-CoV-2 can directly infect engineered human blood vessel organoids and human kidney organoids, which can be inhibited by hrsACE2. These data demonstrate that hrsACE2 can significantly block early stages of SARS-CoV-2 infections. BT - Cell DA - 2020-05-14 DO - 10.1016/j.cell.2020.04.004 IS - 4 LA - eng N2 - We have previously provided the first genetic evidence that angiotensin converting enzyme 2 (ACE2) is the critical receptor for severe acute respiratory syndrome coronavirus (SARS-CoV), and ACE2 protects the lung from injury, providing a molecular explanation for the severe lung failure and death due to SARS-CoV infections. ACE2 has now also been identified as a key receptor for SARS-CoV-2 infections, and it has been proposed that inhibiting this interaction might be used in treating patients with COVID-19. However, it is not known whether human recombinant soluble ACE2 (hrsACE2) blocks growth of SARS-CoV-2. Here, we show that clinical grade hrsACE2 reduced SARS-CoV-2 recovery from Vero cells by a factor of 1,000-5,000. An equivalent mouse rsACE2 had no effect. We also show that SARS-CoV-2 can directly infect engineered human blood vessel organoids and human kidney organoids, which can be inhibited by hrsACE2. These data demonstrate that hrsACE2 can significantly block early stages of SARS-CoV-2 infections. PY - 2020 SP - 905 EP - 913.e7 T2 - Cell TI - Inhibition of SARS-CoV-2 Infections in Engineered Human Tissues Using Clinical-Grade Soluble Human ACE2 VL - 181 SN - 1097-4172 ER -